Application form for employment (Teaching post)

Application form for employment

(Teaching post)

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Contents

1. Instructions ... 4

2. Personal details ... 4

3. Employment history ... 7

4. Education and training ... 9

5. Letter of application ... 12

6. References ... 12

7. Equalities monitoring ... 13

……….

Data protection notice

Throughout this form we ask for some personal data about you. We’ll only use this data in line with data protection legislation and process your data for one or more of the following reasons permitted in law:

• You have given us your consent

• We must process it to comply with our legal obligations • We need to process it for our legitimate interests

You’ll find more information on our legitimate interests and how we use your personal data in our privacy notice for job applicants.

Vacancy information

What date are you available to begin a new post?: Recruitment monitoring

Where did you first hear about this job?:

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Disclosure and Barring and childcare disqualification

The Interaction and Communication Academy Trust (ICAT) and its Academies are legally obligated to process a Disclosure and Barring Service (DBS) check before making

appointments to relevant posts. The DBS check will reveal both spent and unspent convictions, cautions, and bind-overs as well as pending prosecutions, which aren’t “protected” under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975.

We’ll use the DBS check to ensure we comply with the Childcare Disqualification Regulations Any data processed as part of the DBS check will be processed in accordance with data protection regulations and the Trust/Academy privacy statement.

If you’ve lived or worked outside of the UK the Trust/Academy may require additional

information in order to comply with ‘safer recruitment’ requirements. If you answer ‘yes’ to the question below, we may contact you for additional information in due course.

Have you lived or worked outside of the UK?: Yes

Right to work in the UK

The ICAT or its Academy will require you to provide evidence of your right to work in the UK in accordance with the Immigration, Asylum and Nationality Act 2006.

By signing this application, you agree to provide such evidence when requested.

Sign and date:

No

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1. Instructions

Please complete all sections of this form using black ink or type.

The sections of this application form that include your personal details and equalities monitoring information will be detached prior to shortlisting. This is to ensure that your application is dealt with objectively.

2. Personal details

Personal details

If you prefer to be called by a name other than the one listed above, please specify National Insurance Number

If you are in receipt of a pension payable under the Teachers’ Pension Regulations following early retirement, please indicate the grounds on which you were retired

Interest of efficiency Redundancy Ill Health

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Contact details

Disability and accessibility

The ICAT and its Academies are committed to ensuring that applicants with disabilities or impairments receive equal opportunities and treatment.

If you have a disability or impairment, and would like us to make adjustments or arrangements to assist if you’re called for an interview, please state the arrangements you require:

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Relationship to the Interaction and Communication Trust and its Academies

Please list any personal relationships that exist between you and any of the following members of the Interaction and Communication Academy Trust community:

• Members

• Directors/trustees • Local governors • Staff

• Pupils

If you have a relationship with a member, director/trustee, local governor or employee, this does not necessarily prevent them from acting as a reference for you.

Name Relationship Role at the Trust/Academy

3. Employment history

Current employment details (teaching posts, including teaching assistants)

Job title Employer details (name, address, email and/or telephone) Dates employed Age range taught Number on roll Permanent or temporary Part-time

or full-time allowances) Salary (inc. Description of responsibilities

Previous employment

Please provide details of previous employment. List the most recent employment first.

Job title Name and address of employer

Dates

employed responsibilities Description of Reason for leaving

Gaps in employment

Please use the space below to explain any gaps in your employment.

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4. Education and training

Education and qualifications

Please provide details of your education from secondary school onwards. You may be required to produce evidence of qualifications.

Dates attended

(month and year) school/college/university Name and location of Qualifications gained (including grades)

Language Skills

Do you speak or write any language other than English?

Language Speak Write

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Training and professional development

Please give details of training or professional development courses undertaken in the last 3 years that are relevant to your application.

Course dates Length of course Course title Qualification _obtained Course provider

Teacher status

Teacher reference number Do you have QTS?

QTS certificate number (where applicable) Date of qualification

Are you subject to a teacher prohibition order, or an interim prohibition order, issued by the secretary of state, as a result of misconduct?

Are you subject to a General Teaching Council sanction or restriction?

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Additional information

Please provide any additional information relevant to this application. You may wish to discuss additional skills or relevant special interests.

Driving licence details

Do you have a valid driving licence?

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5. Letter of application

Please attach an accompanying letter explaining why you’re applying for this post and how your experience, training and personal qualities match the requirements of the role as set out in the job description and person specification.

Please also include your surname and the title of the post you’re applying to as the filename for the attachment.

6. References

Please give names of 2 people who are able to comment on your suitability for this post. One must be your present or last employer. If you’ve not previously been employed, please provide details of another suitable referee.

The ICATand its Academies reserves the right to seek any additional references we deem appropriate.

Please let your referees know that you’ve listed them as a referee, and to expect a request for a reference should you be shortlisted.

Name Relationship _{to you} Address and _postcode Contact _number Email address Is this your current employer?

If either of your referees knows you by a different name, please state:

If you don’t wish us to contact your referees without your prior agreement, please tick this box: ☐

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7. Equalities monitoring

We’re bound by the Public Sector Equality Duty to promote equality for everyone. To assess

whether we’re meeting this duty, whether our policies are effective and whether we’re complying with relevant legislation, we need to know the information requested below.

This information will not be used during the selection process. It will be used for monitoring purposes only.

Equalities monitoring information

What is your date of birth?

D D M M Y Y Y Y

What gender are you?

Do you identify as the gender you were assigned at birth?

Male Female Non binary Prefer not to say

Yes No

Prefer not to say

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How would you describe your ethnic origin? White

☐British ☐Irish

☐Gypsy or Irish Traveller ☐Any other White background

Asian or British Asian

☐Bangladeshi ☐Indian ☐Pakistani ☐Chinese

Black or Black British

☐African ☐Caribbean ☐Any other Black background

Mixed

☐White and Asian

☐White and Black African ☐White and Black Caribbean ☐Any other mixed

background

Other Ethnic groups

☐Arab

☐Any other ethnic group

☐Prefer not to say

Which of the following best describes your sexual orientation?

☐Bisexual

☐Heterosexual/straight ☐Homosexual man ☐Homosexual woman ☐Other

☐Prefer not to say

What is your religion or belief?

☐Agnostic ☐Atheist ☐Buddhist ☐Christian ☐Hindu ☐Jain ☐Jewish ☐Muslim ☐No religion ☐Other ☐Pagan ☐Sikh

☐Prefer not to say

Are your day-to-day activities significantly limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

☐Yes ☐No

☐Prefer not to say

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If you answered ‘yes’ to the question above, please state the type of impairment. Please tick all that apply. If none of the below categories applies, please mark ‘other’.

☐Physical impairment ☐Sensory impairment

☐Learning disability/difficulty ☐Long-standing illness ☐Mental health condition ☐Developmental condition ☐Other

What happens next?

Shortlisted candidates will be contacted after the closing date. If you do not hear from us within 4 weeks, please assume that on this occasion your application has been unsuccessful. However, do not let this stop you from applying for other vacancies within ICAT.

Please contact us if you require special arrangements or adjustments for the interview.

I declare that the information I have given on this form is complete and accurate.

I understand that to knowingly give false information, or to omit information, could result in the withdrawal of any offer of appointment, or my dismissal at any time in the future.

Please sign the form*

*If you submit electronically you will be asked to provide a true signature if you are shortlisted.

Signed: Print Name: Date